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At least 937 records · Page 52Linked to original sources
PubMed1991

Absentee patterns among OR staff. Identifying aspects of the problem.

Absenteeism continues to be a great concern to hospital administrators. Nursing personnel should have a clear idea of acceptable attendance parameters based on written policies that are routinely administered. Efforts are now directed toward exploring strategies that reward personnel for good attendance records. Early development of professional attitudes related to absenteeism should continue to be supported and fostered. Implications from this preliminary study indicate that it may be more cost-effective to hire RNs than STs to work in ORs.

Absenteeism↗
PubMed2003

Military nursing at the forefront: the Army Forward Surgical Team.

From World War II to current conflicts, history has validated the need for early surgical intervention to save lives and established the need for FSTs. Historically 10% to 15% of soldiers wounded in action require surgery to control hemorrhage and to provide stabilization sufficient for evacuation to a medical treatment facility where definitive care can be provided. Undoubtedly, many lives were saved in past conflicts because resuscitative surgery and care were available a short time after being wounded. The need for surgical stabilization for patients to survive a long evacuation was well-established during military operations such as Operation Desert Storm. Resuscitative surgery capability must be present on the battlefield, and this capability must be able to move with the units the FST is supporting. These two imperatives were the driving force of the creation of the US Army's FSTs: they are light, easily transportable, and able to keep pace with the supported units. FSTs are an integral and essential element in providing surgical care to save soldiers' lives on the modem battlefield. The US military has been involved in more operations and deployments since the end of the Cold War than in the preceding years. FSTs participated in many of these operations and have performed superbly. FSTs will continue to have a critical role in providing combat health service support to soldiers on the battlefield of the twenty-first century, and FST nurses will continue to be an indispensable asset.

Hospitals, Packaged↗
PubMed1996

Nursing management and follow-up of the postoperative vascular patient in a clinic setting.

Patient follow-up after vascular surgery in a clinic setting provides prompt evaluation of patients, opportunity for education, and comprehensive care through direct patient and family teaching. These services are provided by a lead clinic RN experienced in medical/surgical care and a certified RN first assistant, who has specialized training and proficiency in perioperative nursing practice. Patients and their families depend on nurses in perioperative and outpatient settings to provide expertise, support, and understanding during the recovery process. This article presents a collaborative model of intervention, management, and follow-up by nurses in these settings.

Aftercare↗
PubMed2004

A disputed occupational boundary: operating theatre nurses and Operating Department Practitioners.

Traditionally, surgeons (and to a lesser extent anaesthetists) have been assisted primarily by nurses. This role has been threatened in recent years, in the UK NHS (and elsewhere), by a relatively new profession, that of the Operating Department Practitioner (ODP). The ODP profession is still in the process of establishing itself as a 'full' profession within UK health care. While occupational boundary disputes between professions are common in health care, it is unusual for them to become as overt as the dispute we will analyse in this paper. Drawing on fieldwork observations and interviews conducted in operating theatres, as well as documentary sources, we will show how this dispute arose, how it is manifested at both the micro and the macro level, and how both groups involved justify their positions, drawing on surprisingly similar rhetorical strategies. A further unusual feature of this dispute is the fact that, unlike many attempts by managers to substitute one type of labour for another, issues of cost are relatively unimportant, as both theatre nurses and ODPs earn similar salaries.

Attitude of Health Personnel↗
PubMed2006

Estimating the duration of common elective operations: implications for operating list management.

Over-running operating lists are known to be a common cause of cancellation of operations on the day of surgery. We investigated whether lists were overbooked because surgeons were optimistic in their estimates of the time that operations would take to complete. We used a questionnaire to assess the estimates of total operation time of 22 surgeons, 35 anaesthetists and 16 senior nursing staff for 31 common, general surgical and urological procedures. The response rate was 66%. We found no difference between the estimates of these three groups of staff, or between these estimates and times obtained from theatre computer records (p = 0.722). We then applied the average of the surgeons' estimates prospectively to 50 consecutive published surgical lists. Surgical estimates were very accurate in predicting the actual duration of the list (r2= 0.61; p < 0.001), but were poor at booking the list to within its scheduled duration: 50% of lists were predictably overbooked, 50% over-ran their scheduled time, and 34% of lists suffered a cancellation. We suggest that using the estimates of operating times to plan lists would reduce the incidence of predictable over-runs and cancellations.

Anesthesiology↗
PubMed2003

The ethics of theatre nurse practice under the microscope.

Perioperative practice is a multidisciplinary environment. In some theatres, student nurse allocations are at last becoming longer, although some theatres still only get a brief visit from student nurses who wish to watch an operation all the way through. Furthermore, practically all operating departments have trainee operating department practitioners (tODPs). Diploma and degree level tODPs are now beginning to produce higher academic levels of coursework and many warrant recognition. We should remember that these 'learners' are potentially the theatre practitioners of the future and we should encourage them, not only within the perioperative environment but also towards their academic achievements. Qualified nurses and operating department practitioners (ODPs) now have access to various multi-disciplinary post-registration/gradate courses, which not only build upon theoretical knowledge, but also enhance practical skills. Individuals work long and hard to achieve high level academic pieces of coursework. Unfortunately after courses finish many assignments are packed away, collect dust and get forgotten, instead of the authors being brave enough to submit them for consideration for publication. This new series offers all practitioners the chance to share with others their work within this speciality. Whether you are a nurse or an ODP undertaking, or having recently completed a course, tODP or student nurse (but preferably a member of NATN) the possibility to share your experiences or coursework with other perioperative practitioners is available to you in these articles. It has always been so, but this new series is dedicated to you all and to the hard work you put into your coursework.

Codes of Ethics↗
PubMed2006

A cover up? Potential risks of wearing theatre clothing outside theatre.

A report from the Hospital Infection Society Working Group (2002) examined ritualistic practices in theatre and evidence was sought to establish which practices could be supported with clear scientific evidence. The report stated that there is little or no research to show that wearing theatre attire outside the theatre and returning without changing into clean theatre attire increases wound infection rates. It is difficult to implement infection control practices on a scientific basis as there is often a lack of evidence to support the practice. Moreover, many practices are grounded in 'this is the way things are done around here' (Ward 2000).

Attitude of Health Personnel↗
PubMed2006

Support staff roles in the operating department: a survey of staff opinion.

The expansion of support staff roles throughout the NHS was identified as a key element in the drive for service improvements set out in the NHS plan (Department of Health 2000). However, while examination of the literature identified the opinions of professional representative bodies (Perioperative Care Collaborative 2002a&b), little published data is available of the opinions of staff 'on the shop floor'.

Attitude of Health Personnel↗
PubMed2006

Inter-professional education: registered nurses + ODPS = theatre practitioners.

The structure of theatre management should ensure that the patient receives the most appropriate care available, with every team member knowing their role and their expected contribution in order to meet the needs of the patient. Inter-professional healthcare is an integral feature of the NHS and this article will focus on the interaction and teamwork experienced in the theatre department between qualified nurses and qualified operating department practitioners (ODPs) and the perceived differences and similarities in their roles both historically and in future practice. Taylor and Campbell (1999) state the operating department is unique in that various members of the multidisciplinary teams are all present at the same time and work together for the successful completion of the perioperative period of care. Anonymous clinical examples have been used to highlight certain points and to illustrate the differing roles of the perioperative staff.

Attitude of Health Personnel↗